NPI 1700125481

Children's Hospital of Wisconsin

Organisation Pediatrics Physician Appleton, WI

Practice location

Address: 2575 E Evergreen Dr, Appleton, WI 54913-8910
Phone: (920) 969-7930
Fax: (920) 969-7975
Mailing address: 9000 W Wisconsin Ave Ms 958, Milwaukee, WI 53226-4874

Authorised official

Name: Weldon Gage
Title: Treasurer/Chief Financial Officer
Phone: (414) 266-6401

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Other Pediatrics providers in Wisconsin →

Registry record

NPI: 1700125481
Entity type: Organization
NPI issued: 31 Jan 2013
Record last updated: 24 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.